A 68-year-old man presents with a pigmented lesion on his back. Using the weighted 7-point checklist, he scores 4 points (major features: change in si...

Question

A 68-year-old man presents with a pigmented lesion on his back. Using the weighted 7-point checklist, he scores 4 points (major features: change in size; minor features: diameter >6mm, inflammation). What is the most appropriate management?

Accepted Answer

Urgent referral to dermatology (2-week wait)

Answer

Routine referral to dermatology

Answer

Cryotherapy in primary care

Answer

Excision biopsy in primary care

Answer

Reassurance and monitor

mrcgp akt MCQ (SBA): Melanoma (Referral Criteria)

A 68-year-old man presents with a pigmented lesion on his back. Using the weighted 7-point checklist, he scores 4 points (major features: change in size; minor features: diameter >6mm, inflammation). What is the most appropriate management?